Scheme of Assistance to Disabled Persons for Purchase/Fitting of Aids/Appliances: UTILISATION CERTIFICATE (See Government of India's Decision (1) below Rule 150) S.No. Letter number and date Amount Certificated that out of Rs......./- of grant-in-aid sanctioned during the year..............in favour of .....................under this Ministry/Department letter No. given in the margin and Rs....../ on account of unspent balance of the previous year, a sum of Rs......./ has been utilized for the purpose of .........................for which it was sanctioned and that the balance of Rs............../ remaining unutilized at the end of the year has been surrendered to Government (vide No........... dated will be adjusted towards the grant-in-aid payable during the next year. 2. Certified that I have satisfied myself that the conditions on which the grant-in-aid was sanctioned have been duly fulfilled/are being fulfilled and that I have exercised the following checks to see that the money was actually utilized for the purpose for which it was sanctioned. Kinds of checks exercised: 1. 2. 3. 4. 5. Duly certified by a Signature....... Chartered Accountant/ Auditor Designation...... Date..........